INFINITY OPTIONS RESIDENTIAL FACILITY (NPI# 1720116072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720116072 |
| Entity Type | Organization |
| Organization Name | INFINITY OPTIONS RESIDENTIAL FACILITY |
| Practice Address |
122 Fletcher Pl Greenville NC 27858-4723 |
| Mailing Address |
201 Hickory Branches Close Winterville NC 28590-9210 |
| Practice Telephone | 2523299121 |
| Mailing Telephone | 2527524814 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. SHARON DENISE EVANS (OWNER) |
| Authorized Official Telephone | 2522583940 |
| Authorized Official Credential | M.A.ED |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | MHL-074-147 | NC | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 6603821 | 05 |
| Street Address |
122 FLETCHER PL |
| City | GREENVILLE |
| State | NC |
| Zip Code | 27858-4723 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740890797 | Kari Melissa Carr | Counselor | 4410 Health Sciences Building, Greenville, NC 27858 | 2020-08-05 |
| 1518584705 | Apriann Marchelle Sutton | Social Worker | 2050 Eastgate Dr., # E, Greenville, NC 27858 | 2020-07-03 |
| 1174145338 | Matthew Charles Whited | Psychologist | Pass Clinic Rawl Building Room 311, East Carolina University, Greenville, NC 27858 | 2020-05-11 |
| 1760025043 | Brooke Elizabeth Wallace | Occupational Therapist | 740 Greenville Blvd, Ste 400 #133, Greenville, NC 27858 | 2019-10-19 |
| 1770141699 | Andrew Pickett | Specialist/Technologist | 130b Scales Field House, Ecu, Greenville, NC 27858 | 2019-06-05 |
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1316410996 | East Carolina Acupuncture Inc | Acupuncturist | 211 Commerce Street, Suite A, Greenville, NC 27858 | 2019-01-07 |
| 1922597368 | Kevin Westbrook | Respiratory Therapist, Registered | 513 Abington Court, Greenville, NC 27858 | 2018-05-01 |
| 1871090167 | Faith Based Counseling Services, LLC | Counselor | 235 Commerece Street, Greenville, NC 27858 | 2018-04-12 |
| 1639677800 | Marcus Brian Ward, Dmd, Pa | Clinic/Center | 3912 East 10th St., Greenville, NC 27858 | 2018-01-23 |
| Find all providers in zip 27858 | ||||
| Taxonomy Code | 322D00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Residential Treatment Facility, Emotionally Disturbed Children |
| A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
| Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467892661 | Doretha Community Development | Residential Treatment Facility, Emotionally Disturbed Children | 3313 Brookline Ct, Greenville, NC 27834-8498 | 2013-07-02 |
| 1093968836 | A Second Chance,inc | Residential Treatment Facility, Emotionally Disturbed Children | 1209 Duce Dr, Greenville, NC 27834-6566 | 2008-10-24 |
| 1336316892 | Noacin, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 924 Ellery Dr, Greenville, NC 27834-0066 | 2008-05-14 |
| 1396927976 | Healthplus Therapeutic Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 205 Greenbriar Dr, Greenville, NC 27834-9699 | 2007-12-05 |
| 1235328881 | My Savior Family Care Home, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 3200 Briarcliff Dr, Greenville, NC 27834-4948 | 2007-10-19 |
| 1497963136 | Divine Guidance Integrative Services | Residential Treatment Facility, Emotionally Disturbed Children | 321 Scottish Ct, Greenville, NC 27858-8974 | 2007-05-18 |
| 1326254582 | Divine Guidance Integrative Services | Residential Treatment Facility, Emotionally Disturbed Children | 1306 Dusk Ct, Greenville, NC 27834-7785 | 2007-05-15 |
| 1629293592 | Dream Provider Care Services | Residential Treatment Facility, Emotionally Disturbed Children | 2272 Briley Rd, Greenville, NC 27834-8909 | 2007-04-16 |
| 1699804302 | Cascade Behavioral Treatment Services, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 325 Oak Grove Ave, Greenville, NC 27834-1124 | 2007-03-06 |
| 1710027578 | South Carolina Department of Juvenile Justice | Residential Treatment Facility, Emotionally Disturbed Children | 423 Vardry St, Greenville, SC 29601-3307 | 2007-02-08 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 27858 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.